MICHAEL C MICHELOTTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

MICHAEL C

Last Name

MICHELOTTI

Suffix

Business Name

MICHAEL C MICHELOTTI MD

Original Issue Date

11/04/1985

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023